Long Term Care Hospital (LTCH) Quality Reporting Program (CMS-10409)
ICR 202305-0938-006
OMB: 0938-1163
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1163 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Supporting Statement A | 2023-05-31 |
Form CMS-10409 Long Term Care Data Set
CMS-10409_Supporting Statement Part A_5.1_v9_to 508.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 201171 | Modified |
Long Term Care Data SetICR Details
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